JACLYN CARR (NP-BC) – Family Nurse Practitioner, NPI 1023749983

JACLYN CARR (NP-BC) is a healthcare provider. based in Dayton, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-BC. They hold a License No. APRN.CNP.0030540 (OH). The NPI Number for JACLYN CARR (NP-BC) is 1023749983

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JACLYN CARR (NP-BC)
NPI
1023749983
Phone
(937) 728-9758
Address
5839 OVERHILL LN
Enumeration Date
22 June 2022
Last Update Date
16 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
9375489680
Graduation Year
2021 (5 years ago)
PAC ID
2466833520
Group Practice PAC ID
5698762235
Professional Enrollment ID
I20220720002277
Address ID
OH453311180GR5735XRDXX300

Contacts

Secure Messaging
jcarr706932@direct.ketteringhealth.org
FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

14,989 NURSE PRACTITIONER in OH

Provider Addresses for JACLYN CARR (NP-BC)

  • 5839 OVERHILL LN

    DAYTON, OH 454296043

    Phone: (937) 728-9758

    Type: Mailing

  • 600 W MAIN ST STE 330

    TROY, OH 453733384

    Phone: (937) 980-7400

    Type: Location

  • 5735 MEEKER RD

    GREENVILLE, OH 453311186

    Phone: (937) 548-9680

    Fax: (937) 548-2087

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220720002277INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes205149$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7215$0
99214Established patient office or other outpatient visit, 30-39 minutes3129$0
81003Automated urinalysis test2421$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2020$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698762235View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Nurse PractitionerIN
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Family PracticeOH
Nurse PractitionerOH
Family PracticeOH
Family PracticeOH

Reviews

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Frequently asked questions

What is the standard ID for JACLYN CARR (NP-BC) in the U.S.?
In the U.S., JACLYN CARR (NP-BC) is identified by NPI 1023749983.
Is JACLYN CARR (NP-BC) currently accepting referrals based on NPI status?
Registry metadata lists JACLYN CARR (NP-BC) as active.
What services align with JACLYN CARR (NP-BC)'s listing?
JACLYN CARR (NP-BC)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to JACLYN CARR (NP-BC)?
The directory associates JACLYN CARR (NP-BC) with Dayton, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for JACLYN CARR (NP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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